A patient is one day postoperative following an open thoracotomy. The patient is receiving oxygen mist at 40% by Venturi mask. The patient's ABG results are: pH 7.31, PaO2 93 mm Hg, PaCO2 50 mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate action for the nurse?
Elevate the patient in a high Fowler's position and encourage the use of an incentive spirometer and coughing.
Increase oxygen to 70%.
Switch oxygen to a rebreather mask.
Position the patient prone and have the respiratory therapist perform postural drainage.
The Correct Answer is A
Choice A reason: Elevating the patient in a high Fowler's position can help improve lung expansion and oxygenation, and using an incentive spirometer along with coughing can help prevent atelectasis and pneumonia, which are common postoperative complications.
Choice B reason: Increasing oxygen to 70% without a specific indication could lead to oxygen toxicity, especially without assessing the patient's current oxygenation status.
Choice C reason: Switching to a rebreather mask is not indicated based on the given ABG results and could lead to CO2 retention.
Choice D reason: Positioning the patient prone and performing postural drainage are not typically first-line interventions for a patient one day post-thoracotomy and could be contraindicated due to the recent surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Step 1: Identify the prescribed dose and the dose per tablet. The prescribed dose is 100 mcg and the dose per tablet is also 100 mcg.
Step 2: Divide the prescribed dose by the dose per tablet to find out how many tablets are needed. So, 100 mcg (prescribed dose) ÷ 100 mcg/tablet (dose per tablet) = 1 tablet
Correct Answer is D
Explanation
Choice A reason: This statement is incorrect; patients have the right to refuse treatment at any time, even after signing the consent form.
Choice B reason: While the charge nurse may review the risks, it is typically the responsibility of the provider performing the procedure to ensure the patient understands the risks involved.
Choice C reason: A witness may be required to sign the consent form, but it does not necessarily have to be the patient's partner.
Choice D reason: It is important for the provider to discuss all treatment options with the patient, so they can make an informed decision.
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